Hospitals NAICS 622110

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Industry Summary
The 2,600 hospitals in the US provide acute care and surgeries for patients on either a scheduled or emergency basis. Most hospitals are considered community hospitals, and are operated by non-profit, for-profit, or state or local government organizations.
Conflict with Insurers
While hospitals depend on private insurers for revenue, both groups struggle to agree on how best to treat patients.
Labor Shortages
Hospitals struggle with shortages of nurses, medical technicians, pharmacists, and other clinical workers.
Recent Developments
Sep 4, 2025 - Federal Appeals Court Rules Against Trump Administration Tariffs
- The US Court of Appeals for the Federal Circuit has ruled that President Trump overstepped his authority when he declared national emergencies to justify tariffs on many countries. Hospitals are likely to benefit if the cost of goods imported from countries that were hit with tariffs decrease. US law “bestows significant authority on the president to undertake a number of actions in response to a declared national emergency, but none of these actions explicitly include the power to impose tariffs, duties, or the like, or the power to tax”, the court said in the 7-4 ruling. Many of President Trump’s steep tariffs are “unbounded in scope, amount and duration”, the ruling added, and “assert an expansive authority that is beyond the express limitations” of the law his administration has cited. The court said that the ruling would not take effect until October 14. The Trump administration has filed a petition with the Supreme Court asking the justices to quickly intervene to rule that the president has the power to impose such import taxes on foreign nations.
- Hospitals are buying small physician practices and that is driving up the price of care, according to the National Bureau of Economic Research (NBEA). About 42.2% of physicians worked in private practices (a practice that was wholly-owned by physicians) in 2024, down from 60% in 2012, according to the American Medical Association's Physician Practice Benchmark Survey. Health systems see opportunities to achieve more clinical integration and expand referral networks by acquiring independent physician practices. The acquisitions aren't limited to hospitals: Private equity, insurers, and businesses like Amazon are also acquiring medical practices from doctors facing declining reimbursement and high overhead costs.
- Nearly 750 rural US hospitals are at risk of closure due to financial problems, according to Becker's Health Care. Nearly half of those hospitals are at immediate risk of closure. The count of 748 at-risk rural hospitals comes from an analysis by the Center for Healthcare Quality and Payment Reform of hospital financial information collected by the Centers for Medicare and Medicaid Services. The CMS analysis lists two distinct levels of vulnerability among rural healthcare facilities: risk of closure and immediate risk of closure. Nearly every state has hospitals at risk of closure, measured by financial reserves that can cover losses on patient services for six to seven years. In over half of the states, 25% or more of rural hospitals face this risk, with 11 states having a majority of their rural hospitals in jeopardy. There are 315 rural hospitals at immediate risk of shutting down due to severe financial difficulties. Hospitals facing immediate threat of closure are those for which financial reserves could offset losses on patient services for two to three years at most.
- The Producer Price Index for general medical and surgical hospitals increased 3.19% year over year in July, according to the US Bureau of Labor Statistics. (BLS). Hospital industry employment and average wages for nonsupervisory employees increased slightly during the first six months of 2025, according to the BLS.
Industry Revenue
Hospitals

Industry Structure
Industry size & Structure
The average hospital employs about 2,000 workers and generates $491 million in annual revenue.
- There are about 2,600 hospital firms in the US with about $1.3 trillion in annual revenue and employing 5.1million people.
- Most hospitals are considered community hospitals, and are operated by non-profit, for-profit, or state or local government organizations.
- A typical hospital has 100 to 300 beds and serves 5,800 to 11,200 patients annually.
- The largest US hospital companies include Hospital Corporation of America (HCA), Adventist Health, and Tenet Healthcare Corporation.
- The average length of stay in a hospital is 4-5 days.
- The average hospital occupancy rate in urban hospitals is about 62%, while the occupancy rate in rural hospitals is 37%.
- The majority of hospital employees are dedicated to patient care (doctors, nurses, aides and clinical workers). Other professions within a hospital are office/administrative support, cleaning and maintenance, management, food service, and community and social services.
Industry Forecast
Industry Forecast
Hospitals Industry Growth

Source: Vertical IQ and Inforum
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